Extracorporeal Treatments for Toxic Removal in Poisoning

Authors

  • F. Saulnier Département universitaire de réanimation et médecine d’urgence, faculté de médecine, université de Lille
  • S. Préau Département universitaire de réanimation et médecine d’urgence, faculté de médecine, université de Lille
  • T. Onimus Département universitaire de réanimation et médecine d’urgence, faculté de médecine, université de Lille
  • S. Six Département universitaire de réanimation et médecine d’urgence, faculté de médecine, université de Lille
  • A. Durocher Département universitaire de réanimation et médecine d’urgence, faculté de médecine, université de Lille

DOI:

https://doi.org/10.1007/s13546-016-1218-z

Keywords:

Biofilm, Central venous line, Urinary catheters, Bloodstream infections, Tolerance toward antibiotics

Abstract

This review focuses on extracorporeal treatments for poison removal, as recently defined by the EXTRIP workgroup. Since many years, numerous techniques and/or devices have been developed and proposed in poisoning context, mainly hemodialysis, hemoperfusion, hemofiltration, exchange transfusion, and more recently, albumin dialysis. We overview successively the toxicokinetic and toxicodynamic characteristics of poisons that could limit the efficacy of extracorporeal treatments, depending on the method used. Operational parameters to optimize poison removal for each technique are described. Finally, main indications are discussed.

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Published

2016-08-25

How to Cite

Saulnier, F., Préau, S., Onimus, T., Six, S., & Durocher, A. (2016). Extracorporeal Treatments for Toxic Removal in Poisoning. Médecine Intensive Réanimation, 25(5), 514–528. https://doi.org/10.1007/s13546-016-1218-z

Issue

Vol. 25 No. 5 (2016): Septembre 2016 / Médecine d'urgence-Neuroréanimation

Section

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